| NPI | 1780769828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS20820) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 20820) |
| 1041C0700X Social Worker, Clinical (Licence: OR LCSW #0796) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2023-12-06 |